Thực trạng sử dụng thẻ bảo hiểm y tế trong khám chữa bệnh của người nhiễm HIV/AIDS tại Thành phố Sa Đéc

Thực trạng sử dụng thẻ bảo hiểm y tế trong khám chữa bệnh của người nhiễm HIV/AIDS tại Thành phố Sa Đéc - Tỉnh Đồng Tháp năm 2019

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Ngôn ngữ: vie

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Thông tin xuất bản: Tạp chí Khoa học Nghiên cứu Sức khỏe và Phát triển, 2020

Mô tả vật lý: tr.50-57

Bộ sưu tập: Báo, Tạp chí

ID: 320947

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Mục tiêu: Mô tả thực trạng và các yếu tố liên quan đến việc sử dụng thẻ bảo hiểm y tế trong khám chữa bệnh của người nhiễm HIV/AIDS tại thành phố Sa Đéc, tỉnh Đồng Tháp năm 2019. Phương pháp nghiên cứu: Nghiên cứu cắt ngang, kết hợp định lượng và định tính trên toàn bộ 210 người nhiễm HIV/AIDS có thẻ bảo hiểm y tế thuộc phường 1, 2 và 3 của thành phố Sa Đéc, tỉnh Đồng Tháp trong thời gian từ tháng 3 đến tháng 12 năm 2019. Kết quả: 125 người nhiễm HIV/AIDS (59,5%) sử dụng bảo hiểm y tế khi khám chữa bệnh trong 12 tháng qua. Trong đó, 5/125 người nhiễm HIV/AIDS sử dụng bảo hiểm y tế cho khám, điều trị ARV. Lý do chính lý giải cho việc không sử dụng bảo hiểm y tế là tâm lý sợ bị kì thị (83,5%). Nghiên cứu chỉ ra nhiều yếu tố cá nhân, đồng đẳng viên/gia đình và truyền thông về BHYT có liên quan đến tỷ lệ sử dụng bảo hiểm y tế khi khám chữa bệnh trong 12 tháng qua. Kết luận: Ngành y tế và cơ quan bảo hiểm y tế tỉnh Đồng Tháp cần có kế hoạch chuẩn bị cho giai đoạn tới khi Quỹ toàn cầu không còn tài trợ kinh phí cho hoạt động khám, điều trị ARV cũng như tăng cường truyền thông cải thiện kiến thức, giảm tâm lý tự kì thị của người nhiễm HIV/AIDS khi sử dụng bảo hiểm y tế trong khám chữa bệnh.To describe the situation and factors associated with the use of health insurance cards among people living with HIV/AIDS in Sa Dec city, Dong Thap province in 2019.A qualitative cross-sectional study combnied with a quantitative section were employed to describe the situation and factors associated with the use of health insurance cards among 210 people living with HIV/AIDS in Ward 1, 2 and 3 of Sa Dec city, Dong Thap province from March 2019 to December 2019.There were 125 people living with HIV/AIDS (59.5%) used health insurance cards during medical examination and treatment within the last 12 months. In which, only 5 people living with HIV/AIDS (4%) use health insurance cards for ARV treatment. The main reason for not using health insurance cards is self-discrimination (accounting for 83.5%). The study also found that many factors that belong to individuals, peer/family members and communication/education about health insurance are related to the proportion of people using health insurance cards in the past 12 months.The health sector and Provincial Social Security in Dong Thap need to be well-prepared for the upcoming transition period when the Global Fund no longer funding for ARV treatment. Besides, it is necessary to strengthen communication and education strategies to improve knowledge and reduce the issue of self-discrimination among people living with HIV/AIDS when using health insurance cards.

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